How much rates vary
Facilitymedian $912 · 10th to 90th $407 to $3,162Professionalmedian $209 · 10th to 90th $37 to $447
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $575.44 Median $2,187.76 Typical High $6,760.83 | Facility | None | $575.44 | $2,187.76 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $208.93 Typical High $263.03 | Professional | None | $134.90 | $208.93 | $263.03 |
BCBS Texas Setting Facility Modifier None Typical Low $457.09 Median $891.25 Typical High $2,344.23 | Facility | None | $457.09 | $891.25 | $2,344.23 |
BCBS Texas Setting Professional Modifier None Typical Low $147.91 Median $234.42 Typical High $501.19 | Professional | None | $147.91 | $234.42 | $501.19 |
Christus Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $630.96 Typical High $1,412.54 | Facility | None | $436.52 | $630.96 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $346.74 | Professional | None | $165.96 | $239.88 | $346.74 |
Health Smart Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,778.28 | $1,778.28 | $2,137.96 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $1,071.52 Typical High $4,570.88 | Facility | None | $169.82 | $1,071.52 | $4,570.88 |
Moda Health Setting Professional Modifier None Typical Low $134.90 Median $208.93 Typical High $263.03 | Professional | None | $134.90 | $208.93 | $263.03 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $186.21 Typical High $275.42 | Professional | None | $33.11 | $186.21 | $275.42 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $660.69 Typical High $3,801.89 | Facility | None | $251.19 | $660.69 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $346.74 | Professional | None | $165.96 | $234.42 | $346.74 |
United Setting Facility Modifier None Typical Low $389.05 Median $1,288.25 Typical High $3,090.30 | Facility | None | $389.05 | $1,288.25 | $3,090.30 |
United Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $331.13 | Professional | None | $128.82 | $194.98 | $331.13 |
Wellpoint Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
12 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $104.71 Typical High $120.23 | Professional | 52 · Reduced service | $67.61 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $41.69 Typical High $48.98 | Professional | 53 · Discontinued | $27.54 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $154.88 Typical High $181.97 | Professional | 54 · Surgery only | $102.33 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $30.90 Typical High $36.31 | Professional | 55 · Aftercare only | $20.42 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $20.89 Typical High $23.99 | Professional | 56 · Pre-op care only | $13.49 | $20.89 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $144.54 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $95.50 | $144.54 | $169.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $102.33 Typical High $120.23 | Professional | 52 · Reduced service | $67.61 | $102.33 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $40.74 Typical High $48.98 | Professional | 53 · Discontinued | $27.54 | $40.74 | $48.98 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $154.88 Typical High $181.97 | Professional | 54 · Surgery only | $102.33 | $154.88 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $30.90 Typical High $36.31 | Professional | 55 · Aftercare only | $20.42 | $30.90 | $36.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $20.42 Typical High $23.99 | Professional | 56 · Pre-op care only | $13.49 | $20.42 | $23.99 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $144.54 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $95.50 | $144.54 | $169.82 |
Where Texas sits
The same service costs 4.2 times more in Alaska than in Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 44th of 51
$214
AK $776VA $186
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.